Utilization Review Nurse/Discharge Planner

AMN Healthcare; Arcata (CA); On-site; USD 82,000 - 114,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

Earned time off and paid holidays

Paid continuing education time

401(K) retirement planning

Short-term disability, life insurance,

Access to largest network of providers

Industry experienced workforce mgmt

Licensure and certification reimb.

Job summary

AMN Healthcare is seeking a Utilization Review Nurse / Discharge Planner in California. The role includes assessing medical necessity, coordinating care, securing authorizations, and facilitating discharge planning while ensuring regulatory compliance. Must have CA RN license and ADN, with 4+ years of acute care or discharge planning experience.

Position is a 13-week assignment with hours 8:00am - 4:30pm. Benefits include medical, dental, vision, and 401K among others. Start ASAP.

Qualifications

• Active RN license in California in good standing.
• Associate Degree in Nursing (ADN) required.
• Minimum 4 years of recent clinical nursing experience in acute care, case management, utilization review, or discharge planning.

Responsibilities

• Assess medical necessity and appropriateness of healthcare services using InterQual, MCG, and payer guidelines.
• Coordinate patient care across the continuum and secure authorizations.
• Monitor resource utilization and length of stay; facilitate discharge planning and manage denials/appeals.

Skills

InterQual knowledge

MCG guidelines

Payer guidelines

Education

RN license in CA

ADN

BSN preferred

Tools

CPSI/Evident

Job description

Job Description & Requirements

Utilization Review Nurse/Discharge Planner

StartDate: 11/2/2026 Pay Rate: $1800.00 - $2500.00

POSITION SUMMARY

CA - Utilization Review Nurse / Case Manager

POSITION DUTIES

Assess the medical necessity and appropriateness of healthcare services using InterQual, MCG, and payer guidelines, coordinate patient care across the continuum, secure authorizations, monitor resource utilization and length of stay, facilitate discharge planning, manage denials and appeals, collaborate with interdisciplinary teams, educate patients and families, and ensure regulatory compliance while promoting quality outcomes and cost-effective care.

Minimum Required Qualifications –

• Active Registered Nurse (RN) license in the state of California, in good standing.
• Associate Degree in Nursing (ADN) required.
• Minimum 4 years of recent clinical nursing experience in an acute care hospital, case management, utilization review, or discharge planning setting.

PREFERRED QUALIFICATIONS – Bachelor Of Science In Nursing (BSN) Preferred

LENGTH OF ASSIGNMENT

13 weeks

SHIFT / HOURS PER WEEK

8:00am - 4:30pm

SYSTEMS

CPSI/Evident

START DATE

ASAP

Job Benefits

• Medical, dental and vision benefits
• Earned time off and paid holidays
• Paid continuing education time
• 401(K) retirement planning
• Short-term disability, life insurance, paid jury duty
• Access to the largest network of facilities and providers in the country
• Industry experienced workforce management team
• Licensure and certification reimbursement

About The Company

At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.